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Health Assesment-RN > Study Guides test 1 > Flashcards

Study Guides test 1 Flashcards

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NCLEX-RN® flashcards
1
Q

This palpation to text service characteristic in a custom the person to be touched

A

Light palpation

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2
Q

Use relaxation techniques such as imaginary or deep breathing, altering pressure is better than one long continuous palpation avoid any situation in which the palpation could be causing internal injury or pain

A

Deep palpation

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3
Q

Requires the use of both of your hands to capture certain body parts such as organs kidneys uterus

A

Bimamual palpation

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4
Q

Part of stethoscope used for low frequency sounds

A

Traditional bell mode- press light on skin

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5
Q

Part of stethoscope for high frequency sounds

A

Traditional diaphragm mode - press firm on skin

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6
Q

Environmental conditions to consider for exam setting

A

Warm and comfortable, quiet, private, well lit

No distractions, noises, radio or television

Natural lighting is best

Position examination table so side of the person are easily accessible, The table should be at a height which you can stand without stooping and raise the persons head up 45°

Use a bedside stand for your equipment

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7
Q

Define the 4 physical examination skills?

A

inspection is concentrate and watching

Palpation confirms points that you noted during inspection Texter temperature and moisture swelling vibration pulsation rigidity lumps masses tenderness pain

Percussionist have been the person skin with short sharp stroke

Ask elation is listening to sounds produced by the body such as the heart and blood vessels in the lungs and abdomen

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8
Q

Part of hand beat for detecting vibration

A

ulnar surface of the hand

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9
Q

Where the stationary finger is struck when performing indirect percussion?

A

At the distal interphalangeal joint

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10
Q

Which assessment technique will you use first?

A

Inspection

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11
Q

How should the nurse assess abdomen by palpation ?

A

Start with light to detect surface characteristics and to accustom the client to being touched

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12
Q

When the examiner enters the room and the infant is sleeping , what to do first ?

A

Heart, lungs, abdomen infection

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13
Q

What’s the best description of the pitch of a sounds wave obtained by percussion

A

The number of vibrations per second

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14
Q

Factors that affect bp

A 
Age 
Race
Diurnal rhythm 
Weight 
Exercise 
Emotions 
Stress
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15
Q

Gait is as wide as what?

A

Shoulder width

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16
Q

Normal oral temp ranges from what?? but depends on?

A

96.4-99.1

Age

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17
Q

How to know the cuff is the right size for patient arm?

A

Make sure width is 40% of the arm

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18
Q

Best way to determine how far to inflate bp cuff ?

A

Palpate radial pulse while inflating , when non palpable add 30 above

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19
Q

Process of nociception

A

Transduction
Transmission
Perception
Modulation

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20
Q

The pain message is inhibited

A

Modulation

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21
Q

Signifies the conscious awareness of a painful sensation

A

Perception

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22
Q

The pain impulse moves from the level of the spinal cord to the brain

A

Transmission

23
Q

Noxious stimulus In the form of Trumatic or chemical injury, burn, incision, or tumor it takes place in the periphery

A

Transduction

24
Q

Pain but does not adhere to the typical and predictable phases. Often after injury heals

A

Neuropathic pain

25
Q

Develops when functioning and intact nerve fibers in the periphery in CNS are stimulated which can be divided into four phases: trans duction, transmission, perception, modulation

A

Nociceptive pain

26
Q

Most reliable indicator of pain ?

A

Subjective data- what the patient says

27
Q

Facial pain scale for kids

A

Wong baker scale

28
Q

At risk for if pain is not controlled

A

Atelectasis (collapses lung )

Increase heart o2 demand

Impaired wound healing

29
Q

CRIES is an appropriate assessment tool for?

A

Preterm and neonates

assesses crying, oxygenation, vital signs, facial expression, and sleeplessness

Based on objective and observations

30
Q

What are the cause with organic brain disorders?

A

Due to brain disease of known specific organic cause such as dementia or alcohol or drugs

31
Q

What is the cause of mental disorders and how is it different than organic brain disorders

A

No organic origin has been established, anxiety disorder or Schizophrenia

32
Q

Percent of Americans age 12 and up report being current alcohol drinkers?? And binge drinkers age 18-25 (5 drinks and up)

A

52% report drinking

40% are binge drinkers

33
Q

What does AUDIT assesment do?

A

Helps to detect list of year and alcohol abuse such as consumption, drinking behavior, dependent, adverse consequences, and primary care setting

34
Q

What does AUDIT c assessment do?

A

Heavy drinking and active alcohol abuse. Helps discriminate to be at risk from low risk and a cute critical care units

35
Q

What does CAGE assessment do?

A

Test for lifetime alcohol abuse the primary care setting. Does not distinguish pass problem I’m active present problems. This is less effective with women

36
Q

Effects of alcohol can cause what diseases or conditions?

A

Increases the risk of breast cancer

Liver cirrhosis

Hypertension and constricted blood vessels

Cardiomyopathy diabetes mellitus

37
Q

What are the most common physical health problems that result from intimate partner violence

A

Blunt force injury or being struck by a hand

This can result in neurologic, gastrointestinal, gynecologic symptoms and chronic pain

38
Q

What are the most common mental health problems that result from intimate partner violence

A

Depression, suicide, PTSD, substance abuse

39
Q

What is the difference between abuse and neglect

A

Abuse can be psychological, emotional, sexual, or physical which can result in injury, pain, impairment, or Disease

Neglect is failure to provide basic needs and or services such as shoulder, healthcare, or medications

40
Q

Which assessment shows the ability to lay down new memories?

A

Use of the four unrelated words test

41
Q

A way to assess cognitive function and screen dementia ?

A

Mini cog

42
Q

How to describe appearance of a client

A

example: Note posture, activity, dress, hygiene, cleanliness

43
Q

Major characteristic of dementia

A

Impairment of short and long-term memory

44
Q

With normal aging, it may take one longer to do something but what should not decline ?

A

General knowledge and abilities

45
Q

What is a risk factor for intimate partner homicide (killing)

A

Abuse during pregnancy

46
Q

What to routine give when evaluating a case of elder abuse

A

Baseline lab tests

47
Q

Errors that may occur with 24 hour food recall

A

May not remember

Pt intake maybe abnormal from normal intake

Patient may lie for variety of reasons

Snack items and condiments maybe under reported

48
Q

How can drugs interfere with nutrition?

A

Can affect digestion, Absorption, metabolism, or uptake

49
Q

Purpose of a health hx ?

A

To provide a database of subjective information about the clients past and present health

50
Q

At what age should the interviewer begin to question a child regarding presenting symptoms

A

7 years

51
Q

What is personal space considered ?

A

11/2 to 4 feet

52
Q

What not to use with aldolecents in interviews

A

Silence and reflection

53
Q

Only use touch in interview when?

A

If interviewer knows the client well

54
Q

10 traps of interviewing

A

Giving False assurance

Giving unwanted advice

Using authority

Avoidance language

Distancing

leading or biased questions

Professional jargon (how speak )

Talking too much

Interrupting

Asking why questions

Health Assesment-RN (7 decks)

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